| NPI | 1780025361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L OGDEN Owner/Provider 415-925-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2021-10-14 |